Intergenerational Interventions to Address Epigenetics and the Food Environment Conundrum

Main Article Content

Cynthia Myers-Morrison, EdD Ilene Ray, MS

Abstract

Preconception optimal health and well-being of both potential parents are critical determiners of epigenetic impacts on fetal development and subsequent health for 3-5 generations. With a comprehensive review of existing literature in Google Scholar, PubMed, and local resources, the biological and societal consequences of the obesity pandemic and epigenetics emphasize the critical need for systemic change. The disparity between the current food supply of ultra processed or ultraformulated foodstuffs with bodies that do not recognize them as nutrition has aided in the creation of our obesogenic global society, undernourished and overfed. Some attempts, like the ban on sugary sweetened beverages were thwarted by Big Food; however, individual and local attempts to improve the well-being of children and families are succeeding. To ascertain the status of sustainable interventions across generations, we note trending changes moving toward healthy real food. The impetus for an Intergenerational Families of Choice Model (IFCM) with non-genetic members supporting each other, like those groupings in 12 step recovery communities, addresses the need for intergenerational connections and support systems in an era of fractured families in which parents, grandparents, and newer generations frequently lack proximity in a shared community. Key insights include the links among parental health, long-term outcomes for offspring, the role of community in mitigating these effects, and the potential benefits of an “Intergenerational Family of Choice" Model or IFCM. This model invites intentional, intergenerational support networks to foster connection, resilience, and shared resources. These include creating spaces—such as schools or community centers—where generations can work and play together, share meals with real nutrient rich food at inexpensive costs, and build relationships, instead of the isolating and unhealthy patterns of fast-food culture. This framework underscores the holistic, community-driven approaches to preconception health, empowering families to break cycles of addiction, improve wellbeing mentally, physically, and socially, while nurturing a thriving, connected future generation.


 


 

Keywords: preconception health, obesity, food addiction, fetal development, intergenerational support, Developmental Origins of Health and Disease (DOHaD), community-based models

Article Details

How to Cite
MYERS-MORRISON, Cynthia; RAY, Ilene. Intergenerational Interventions to Address Epigenetics and the Food Environment Conundrum. Medical Research Archives, [S.l.], v. 13, n. 6, june 2025. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/6597>. Date accessed: 15 july 2025. doi: https://doi.org/10.18103/mra.v13i6.6597.
Section
Review Articles

References

1. Alegría-Torres JA, Baccarelli A, Bollati V. Epigenetics and Lifestyle. Epigenomics. 2011;3(3):267-277. doi:10.2217/epi.11.22
2. Bian Z, Wang L, Fan R, et al. Genetic predisposition, modifiable lifestyles, and their joint effects on human lifespan: evidence from multiple cohort studies. BMJ Evid-Based Med. 2024;29(4):255-263. doi:10.1136/bmjebm-2023-112583
3. Stephenson J, Heslehurst N, Hall J, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet Lond Engl. 2018;391(10132):1830-1841. doi:10.1016/S0140-6736(18)30311-8
4. The End of an Era. Foresight. Accessed May 26, 2025. http://www.foresight-preconception.org.uk/
5. Berglund A, Lindmark G. Preconception health and care (PHC)—a strategy for improved maternal and child health. Ups J Med Sci. 2016;121(4):216-221. doi:10.1080/03009734.2016.1191564
6. Schmidt A, Bachmann G. An Overview of Finnish Maternal Health Care As a Potential Model for Decreasing Maternal Mortality in the United States. Womens Health Rep. 2021;2(1):37-43. doi:10.1089/whr.2021.0001
7. juhohakuni. For more than 100 years, Finnish “neuvola” clinics have given families a healthy start. thisisFINLAND. December 21, 2022. Accessed May 26, 2025. https://finland.fi/life-society/for-more-than-100-years-finnish-neuvola-clinics-have-given-families-a-healthy-start/
8. Tuomi J, ed. Preconception Health and Care - Handbook for Education. Tampere University of Applied Sciences; 2021.
9. Avena NM. What to Eat When You Want to Get Pregnant: A Science-Based Four-Week Program to Boost Your Fertility with Nutrition. Citadel Press, Kensington Publishing Corp.; 2021.
10. Avena NM. What to Eat When You’re Pregnant: A Week-By-Week Guide to Support Your Health and Your Baby’s Development. Potter/Ten Speed/Harmony/Rodale; 2015.
11. Barker DJ. The fetal and infant origins of adult disease. BMJ. 1990;301(6761):1111-1111. doi:10.1136/bmj.301.6761.1111
12. Branje S, Geeraerts S, de Zeeuw EL, et al. Intergenerational transmission: Theoretical and methodological issues and an introduction to four Dutch cohorts. Dev Cogn Neurosci. 2020;45:100835. doi:10.1016/j.dcn.2020.100835
13. Fleming TP, Watkins AJ, Velazquez MA, et al. Origins of lifetime health around the time of conception: causes and consequences. The Lancet. 2018;391(10132):1842-1852. doi:10.1016/S0140-6736(18)30312-X
14. WHO. Obesity and overweight. 2025. Accessed May 15, 2025. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
15. Myers-Morrison C. Parental Obesity: The Pandemic of Intergenerational Physical and Mental Health Carnage. Int J Integr Pediatr Environ Med. 2023;8:1-18. doi:10.36013/ijipem.v8i.104
16. Oluwayiose OA, Wu H, Saddiki H, et al. Sperm DNA methylation mediates the association of male age on reproductive outcomes among couples undergoing infertility treatment. Sci Rep. 2021;11(1):3216. doi:10.1038/s41598-020-80857-2
17. Zhou WJ, Huang C, Jiang SH, et al. Influence of sperm morphology on pregnancy outcome and offspring in in vitro fertilization and intracytoplasmic sperm injection: a matched case-control study. Asian J Androl. 2021;23(4):421-428. doi:10.4103/aja.aja_91_20
18. Kaikkonen MU, Lam MTY, Glass CK. Non-coding RNAs as regulators of gene expression and epigenetics. Cardiovasc Res. 2011;90(3):430-440. doi:10.1093/cvr/cvr097
19. Clyde A, Ryall H. Intergenerational approaches to improving health and wellbeing. Published online 2014. https://generationsworkingtogether.org/downloads/536a04c11694b-GWT%20web%20FINAL.pdf
20. Fett R. It Starts with the Egg: The Science of Egg Quality for Fertility, Miscarriage, and IVF. Third edition. Franklin Fox Publishing LLC; 2023.
21. Cox LA, Puppala S, Chan J, et al. Maternal under-nutrition during pregnancy alters the molecular response to over-nutrition in multiple organs and tissues in nonhuman primate juvenile offspring. J Dev Orig Health Dis. 2024;15:e27. doi:10.1017/S2040174424000163
22. da Luz FQ, Sainsbury A, Mannan H, Touyz S, Mitchison D, Hay P. Prevalence of obesity and comorbid eating disorder behaviors in South Australia from 1995 to 2015. Int J Obes. 2017;41(7):1148-1153. doi:10.1038/ijo.2017.79
23. McAulay C, Dawson L, Mond J, Outhred T, Touyz S. “The Food Matches the Mood”: Experiences of Eating Disorders in Bipolar Disorder. Qual Health Res. 2021;31(1):100-112. doi:10.1177/1049732320956267
24. Niklewicz A, Smith AD, Smith A, et al. The importance of vitamin B12 for individuals choosing plant-based diets. Eur J Nutr. 2023;62(3):1551-1559. doi:10.1007/s00394-022-03025-4
25. Stavitz J. Understanding Micronutrient Access through the Lens of the Social Ecological Model: Exploring the Influence of Socioeconomic Factors—A Qualitative Exploration. Nutrients. 2024;16(11):1757. doi:10.3390/nu16111757
26. McKillop H, Aoyama K. Salt and marine products in the Classic Maya economy from use-wear study of stone tools. Proc Natl Acad Sci U S A. 2018;115(43):10948-10952. doi:10.1073/pnas.1803639115
27. Clemente-Suárez VJ, Beltrán-Velasco AI, Redondo-Flórez L, Martín-Rodríguez A, Tornero-Aguilera JF. Global Impacts of Western Diet and Its Effects on Metabolism and Health: A Narrative Review. Nutrients. 2023;15(12):2749. doi:10.3390/nu15122749
28. Unhealthy snack taxes | County Health Rankings & Roadmaps. January 19, 2024. Accessed May 27, 2025. https://www.countyhealthrankings.org/strategies-and-solutions/what-works-for-health/strategies/unhealthy-snack-taxes
29. Bawden A. Children eat more after seeing just five minutes of junk food ads, study finds. The Guardian. https://www.theguardian.com/society/2025/may/11/children-eat-more-after-seeing-just-five-minutes-of-junk-food-ads-study-finds. May 11, 2025. Accessed May 31, 2025.
30. Boyland EJ, Whalen R. Food advertising to children and its effects on diet: review of recent prevalence and impact data. Pediatr Diabetes. 2015;16(5):331-337. doi:10.1111/pedi.12278
31. Introducing further advertising restrictions on TV and online for products high in fat, salt or sugar: government response to consultation on secondary legislation. GOV.UK. Accessed June 4, 2025. https://www.gov.uk/government/consultations/introducing-further-advertising-restrictions-on-tv-and-online-for-products-high-in-fat-salt-or-sugar-secondary-legislation/outcome/introducing-further-advertising-restrictions-on-tv-and-online-for-products-high-in-fat-salt-or-sugar-government-response-to-consultation-on-secondar
32. Gómez SF, Rajmil L. Advertising, obesity and child health: the case of Spain. BMJ Paediatr Open. 2022;6(1). doi:10.1136/bmjpo-2022-001482
33. Powell LM, Leider J, Schermbeck RM, Vandenbroeck A, Harris JL. Trends in Children’s Exposure to Food and Beverage Advertising on Television. JAMA Netw Open. 2024;7(8):e2429671. doi:10.1001/jamanetworkopen.2024.29671
34. Rhodes-Bratton B, Rundle A, Lovasi GS, Herbstman J. The relationship between childhood obesity and neighborhood food ecology explored through the context of gentrification in New York City. Int Public Health J. 2018;10(4):481-496.
35. Rick C, Han J, Elbel B, Schwartz AE. The link between gentrification, children’s egocentric food environment, and obesity. Hous Policy Debate. 2023;33(1):85-106. doi:10.1080/10511482.2022.2125788
36. Zhou EG, Schwartz AE, Elbel B. Gentrification and childhood obesity: Evidence from New York City public school students in public housing. Obes Silver Spring Md. 2024;32(2):390-397. doi:10.1002/oby.23947
37. Brooks SJ, Smith C, Stamoulis C. Excess BMI in early adolescence adversely impacts maturating functional circuits supporting high-level cognition and their structural correlates. Int J Obes 2005. 2023;47(7):590-605. doi:10.1038/s41366-023-01303-7
38. Surkalim DL, Luo M, Eres R, et al. The prevalence of loneliness across 113 countries: systematic review and meta-analysis. BMJ. 2022;376:e067068. doi:10.1136/bmj-2021-067068
39. Vitman A, Iecovich E, Alfasi N. Ageism and Social Integration of Older Adults in Their Neighborhoods in Israel. The Gerontologist. 2014;54(2):177-189. doi:10.1093/geront/gnt008
40. Ares G, De Rosso S, Mueller C, et al. Development of food literacy in children and adolescents: implications for the design of strategies to promote healthier and more sustainable diets. Nutr Rev. 2024;82(4):536-552. doi:10.1093/nutrit/nuad072
41. Nicklaus S. The role of food experiences during early childhood in food pleasure learning. Appetite. 2016;104:3-9. doi:10.1016/j.appet.2015.08.022
42. Ustun B, Reissland N, Covey J, Schaal B, Blissett J. Flavor Sensing in Utero and Emerging Discriminative Behaviors in the Human Fetus. Psychol Sci. 2022;33(10):1651-1663. doi:10.1177/09567976221105460
43. Larrinaga-Undabarrena A, Albisua N, Río X, et al. Level of Physical Activity, Sedentary Behavior, and Sleep in the Child and Adolescent Population in the Autonomous Community of the Basque Country (6-17 Years Old): Protocol for the Mugikertu Study. JMIR Res Protoc. 2022;11(3):e31325. doi:10.2196/31325
44. Marrodán MD, Martínez-Álvarez JR, González-Montero De Espinosa M, López-Ejeda N, Cabañas MD, Prado C. Precisión diagnóstica del índice cintura-talla para la identificación del sobrepeso y de la obesidad infantil. Med Clínica. 2013;140(7):296-301. doi:10.1016/j.medcli.2012.01.032
45. Bacopoulou F, Efthymiou V, Landis G, Rentoumis A, Chrousos GP. Waist circumference, waist-to-hip ratio and waist-to-height ratio reference percentiles for abdominal obesity among Greek adolescents. BMC Pediatr. 2015;15:50. doi:10.1186/s12887-015-0366-z
46. Hu G, Eriksson J, Barengo NC, et al. Occupational, commuting, and leisure-time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes. Circulation. 2004;110(6):666-673. doi:10.1161/01.CIR.0000138102.23783.94
47. Zhao M, Veeranki SP, Li S, Steffen LM, Xi B. Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. Br J Sports Med. 2019;53(22):1405-1411. doi:10.1136/bjsports-2018-099254
48. Dicken SJ, Batterham RL. Ultra-processed Food and Obesity: What Is the Evidence? Curr Nutr Rep. 2024;13(1):23-38. doi:10.1007/s13668-024-00517-z
49. Poti JM, Braga B, Qin B. Ultra-processed Food Intake and Obesity: What Really Matters for Health – Processing or Nutrient Content? Curr Obes Rep. 2017;6(4):420-431. doi:10.1007/s13679-017-0285-4
50. Campbell F, Whear R, Rogers M, et al. Non‐familial intergenerational interventions and their impact on social and mental wellbeing of both younger and older people—A mapping review and evidence and gap map. Campbell Syst Rev. 2023;19(1):e1306. doi:10.1002/cl2.1306
51. Tan J, Zhang Z, Yan LL, Xu X. The developmental origins of health and disease and intergenerational inheritance: a scoping review of multigenerational cohort studies. J Dev Orig Health Dis. 2024;15:e1. doi:10.1017/S2040174424000035
52. Kessler DA. Diet, Drugs, and Dopamine: The New Science of Achieving a Healthy Weight. First edition. Flatiron Books; 2025.
53. Kessler DA. Opinion | In a World of Addictive Foods, We Need GLP-1s. The New York Times. https://www.nytimes.com/2025/05/07/opinion/ozempic-weight-loss-drugs.html. May 7, 2025. Accessed May 15, 2025.
54. P. Rabbitt, M, J. Hales L, Reed-Jones. Food Security in the U.S. - Key Statistics & Graphics | Economic Research Service. Accessed May 14, 2025. https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/key-statistics-graphics#children
55. Padmanabhan V, Cardoso RC, Puttabyatappa M. Developmental Programming, a Pathway to Disease. Endocrinology. 2016;157(4):1328-1340. doi:10.1210/en.2016-1003
56. Gage SH, Munafò MR, Davey Smith G. Causal Inference in Developmental Origins of Health and Disease (DOHaD) Research. Annu Rev Psychol. 2016;67(1):567-585. doi:10.1146/annurev-psych-122414-033352
57. Hanson MA, Gluckman PD. Early Developmental Conditioning of Later Health and Disease: Physiology or Pathophysiology? Physiol Rev. 2014;94(4):1027-1076. doi:10.1152/physrev.00029.2013
58. Hoffman DJ, Powell TL, Barrett ES, Hardy DB. Developmental origins of metabolic diseases. Physiol Rev. 2021;101(3):739-795. doi:10.1152/physrev.00002.2020
59. O’Donnell KJ, Meaney MJ. Fetal Origins of Mental Health: The Developmental Origins of Health and Disease Hypothesis. Am J Psychiatry. 2017;174(4):319-328. doi:10.1176/appi.ajp.2016.16020138
60. Oestreich AK, Moley KH. Developmental and Transmittable Origins of Obesity-Associated Health Disorders. Trends Genet. 2017;33(6):399-407. doi:10.1016/j.tig.2017.03.008
61. Warmink-Perdijk WDB, Peters LL, Tigchelaar EF, et al. Lifelines NEXT: a prospective birth cohort adding the next generation to the three-generation Lifelines cohort study. Eur J Epidemiol. 2020;35(2):157-168. doi:10.1007/s10654-020-00614-7
62. Arshad SH, Karmaus W, Zhang H, Holloway JW. Multigenerational cohorts in patients with asthma and allergy. J Allergy Clin Immunol. 2017;139(2):415-421. doi:10.1016/j.jaci.2016.12.002
63. Mørkve Knudsen T, Rezwan FI, Jiang Y, Karmaus W, Svanes C, Holloway JW. Transgenerational and intergenerational epigenetic inheritance in allergic diseases. J Allergy Clin Immunol. 2018;142(3):765-772. doi:10.1016/j.jaci.2018.07.007
64. Sutton EF, Gilmore LA, Dunger DB, et al. Developmental programming: State‐of‐the‐science and future directions–Summary from a Pennington Biomedical symposium. Obesity. 2016;24(5):1018-1026. doi:10.1002/oby.21487
65. Hochberg Z, Feil R, Constancia M, et al. Child Health, Developmental Plasticity, and Epigenetic Programming. Endocr Rev. 2011;32(2):159-224. doi:10.1210/er.2009-0039
66. Guidelines for designing age-appropriate cooking interventions for children: The development of evidence-based cooking skill recommendations for children, using a multidisciplinary approach - ScienceDirect. Accessed May 28, 2025. https://www.sciencedirect.com/science/article/abs/pii/S0195666321000337?via%3Dihub
67. Fisberg M, Gioia N, Maximino P. Transgenerational transmission of eating habits. J Pediatr (Rio J). 2023;100(Suppl 1):S82-S87. doi:10.1016/j.jped.2023.11.007
68. Doak CM, Adair LS, Bentley M, Monteiro C, Popkin BM. The dual burden household and the nutrition transition paradox. Int J Obes. 2005;29(1):129-136. doi:10.1038/sj.ijo.0802824
69. Ede G. Change Your Diet, Change Your Mind: A Powerful Plan to Improve Mood, Overcome Anxiety, and Protect Memory for a Lifetime of Optimal Mental Health. First edition. Balance; 2024.
70. OECD. The Heavy Burden of Obesity: The Economics of Prevention. OECD; 2019. doi:10.1787/67450d67-en
71. Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: shaped by global drivers and local environments. The Lancet. 2011;378(9793):804-814. doi:10.1016/S0140-6736(11)60813-1
72. Swinburn BA, Kraak VI, Allender S, et al. The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. The Lancet. 2019;393(10173):791-846. doi:10.1016/S0140-6736(18)32822-8
73. British Restaurant. In: Wikipedia. ; 2025. Accessed May 13, 2025. https://en.wikipedia.org/w/index.php?title=British_Restaurant&oldid=1273258690
74. Norouzi N, Angel JL. Intergenerational Day Centers: A New Wave in Adult and Child Day Care. Int J Environ Res Public Health. 2023;20(1):809. doi:10.3390/ijerph20010809
75. Warren R. The Daniel Plan Journal: 40 Days to a Healthier Life. Paperback edition. Zondervan Books; 2020.
76. Rinkel HJ, Randolph TG, Zeller M. Food Allergy. 1st edition. Charles C Thomas Pub Ltd; 1951.
77. Coca-Cola’s sneaky, evil politics: How Big Soda twisted race and used the Koch Brothers to fight a tax | Salon.com. Accessed May 28, 2025. https://www.salon.com/2015/10/17/coca_colas_sneaky_evil_politics_how_big_soda_twisted_race_and_used_the_koch_brothers_to_fight_a_tax/
78. Brownell KD, Frieden TR. Ounces of Prevention — The Public Policy Case for Taxes on Sugared Beverages. N Engl J Med. 2009;360(18):1805-1808. doi:10.1056/NEJMp0902392
79. Han E, Powell LM. Consumption Patterns of Sugar-Sweetened Beverages in the United States. J Acad Nutr Diet. 2013;113(1):43-53. doi:10.1016/j.jand.2012.09.016
80. Idaho submits waiver request to exclude soft drinks and candy from SNAP purchases | Idaho Department of Health and Welfare. Accessed June 7, 2025. https://healthandwelfare.idaho.gov/news/idaho-submits-waiver-request-exclude-soft-drinks-and-candy-snap-purchases
81. Chacón C, Arteaga I, Martínez-Escudé A, et al. Clinical epidemiology of non-alcoholic fatty liver disease in children and adolescents. The LiverKids: Study protocol. Karlas T, ed. PLOS ONE. 2023;18(10):e0286586. doi:10.1371/journal.pone.0286586
82. Frieden TR. A Framework for Public Health Action: The Health Impact Pyramid. Am J Public Health. 2010;100(4):590-595. doi:10.2105/AJPH.2009.185652